Hope Family Health Services

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) APPLICANT ORGANIZATION NAME: HOPE FAMILY HEALTH SERVICES HEALTH CENTER PROGRAM GRANT NUMBER: H80CS24109 ADDRESS: 1124 NEW HWY 52 EAST, WESTMORELAND, TN 37186-5032 CONTACT PHONE NUMBER: (615) 644-2000 WEBSITE ADDRESS: HOPEFAMILYHEALTH.ORG PROGRAM FUNDS REQUESTED IN THE APPLICATION: THIS APPLICATION REQUESTS A TOTAL OF $1,100,000 IN BHSE FUNDING, WITH $600,000 FOR YEAR 1 AND $500,000 FOR YEAR 2. HOPE FAMILY HEALTH SERVICES (HFHS), A NON-PROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HAS BEEN PROVIDING ACCESSIBLE, HIGH-QUALITY, PATIENT-FOCUSED HEALTH CARE TO RESIDENTS OF MACON, SUMNER, AND TROUSDALE COUNTIES, TN SINCE 2005. IN 2023, HFHS SERVED 4,627 PATIENTS WITH 18,106 ENCOUNTERS, INCLUDING 3,534 VIRTUAL VISITS, FROM THREE SERVICE DELIVERY SITES, INCLUDING 971 PATIENTS WITH MENTAL HEALTH (MH) SERVICES, 100 PATIENTS WITH SUBSTANCE USE DISORDER (SUD) SERVICES, AND 10 PATIENTS WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) (UDS). NEED: IN THE THREE-COUNTY SERVICE AREA, THERE ARE AN ESTIMATED 44,887 INDIVIDUALS AGES 12 AND OLDER WHO ARE IN NEED OF SUD TREATMENT. OF THESE, AN ESTIMATED 9,383 INDIVIDUALS ARE IN TREATMENT. THE NATIONAL SURVEY ON DRUG USE AND HEALTH (NSDUH) ESTIMATES THAT 71.4% OF INDIVIDUALS 18 AND OLDER AND 61.0% OF INDIVIDUALS AGES 12 TO 17 WHO ARE IN NEED OF SUD TREATMENT IN TN ARE NOT RECEIVING SUD SERVICES. THEREFORE, THE NUMBER OF INDIVIDUALS WITH SUD WHO NEED TREATMENT IN THE HFHS SERVICE AREA IS APPROXIMATELY 31,473. IN ADDITION, THERE ARE AN ESTIMATED 43,257 INDIVIDUALS WITH MENTAL ILLNESS IN THE SERVICE AREA (NSDUH, SAMHSA, 2021-2022). AMONG ADULTS WITH ANY MENTAL ILLNESS IN TN, 46.4% HAVE NOT RECEIVED NEEDED TREATMENT. IN THE HFHS SERVICE AREA, THIS WOULD INDICATE AT LEAST 20,071 INDIVIDUALS NEEDING BUT NOT RECEIVING MH SERVICES. MOST OF THOSE NOT RECEIVING CARE REPORTED THE PRIMARY FACTOR WAS THAT THEY COULD NOT AFFORD IT (“ADULTS WITH AMI REPORTING UNMET NEED 2023,” MENTAL HEALTH AMERICA). MANY OF THESE INDIVIDUALS MAY BE AMONG THE ESTIMATED 25,341 UNINSURED OR 38,380 MEDICAID ENROLLED RESIDENTS OF THE SERVICE AREA, AS MANY PROVIDERS OF SUD AND MENTAL HEALTH TREATMENT ONLY ACCEPT PRIVATE INSURANCE (SAHIE, CENSUS BUREAU, 2021; ACS, CENSUS BUREAU, 2018-2022). HFHS IS AN ESSENTIAL SAFETY NET PROVIDER OF COMPREHENSIVE CARE IN THE SERVICE AREA. SERVICES: HFHS IS REQUESTING FUNDING TO EXPAND BH SERVICES, INCREASING ACCESS TO MH, SUD, AND MOUD FOR THE TARGET POPULATION. HFHS HAS AN ESTABLISHED INTEGRATED BH PROGRAM; HOWEVER, THE NEED FOR SERVICES EXCEEDS HFHS’S CAPACITY. HFHS WILL AUGMENT ITS BH CARE TEAM BY HIRING 7.25 FTE BH STAFF BY YEAR 2, INCLUDING: 1.0 FTE PSYCHIATRIC NURSE PRACTITIONER, 1.0 FTE ADDICTION COUNSELOR, 2.0 FTE PEER SUPPORT SPECIALISTS, 1.0 FTE BH MEDICAL ASSISTANT, 1.0 FTE CLINICAL PHARMACIST. 1.0 FTE BH THERAPIST, AND 0.25 FTE ADDICTION RECOVERY PROGRAM LEAD. HFHS WILL ALSO CONTRACT WITH A PSYCHIATRIST TO PROVIDE DIRECT CARE AND ADDITIONAL CLINICAL OVERSIGHT. HFHS WILL ALSO PURCHASE NEUROFEEDBACK EQUIPMENT AND A MOBILE UNIT TO DELIVER SERVICES IN RURAL COMMUNITIES IN NEED. TRAINING ON NEUROFEEDBACK AND MOUD IS INCLUDED IN THE PROJECT, TO ENSURE PROFICIENCY, CURRENT KNOWLEDGE AND AWARENESS OF EMERGING SUD ISSUES. POPULATION GROUP: HFHS ANTICIPATES THAT THE BHSE EXPANSION WILL INCREASE THE NUMBER OF PATIENTS WITHIN THE SERVICE AREA WHO RECEIVE MENTAL HEALTH, SUD, AND MOUD SERVICES. BY 12/31/2025, HFHS ANTICIPATES SERVING A TOTAL OF 2,100 MENTAL HEALTH SERVICES PATIENTS, 190 SUD SERVICES PATIENTS, AND 35 PATIENTS RECEIVING TREATMENT WITH MOUD, SUPPORTING THE BHSE PROGRAM PURPOSE OF INCREASING THE NUMBER OF PATIENTS WHO ACCESS MH AND SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD. HFHS ALSO ANTICIPATES SERVING 75 NEW HEALTH CENTER PATIENTS IN CY2025 WITH BHSE FUNDING.

HEALTH CENTER INFRASTRUCTURE SUPPORT

FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT TITLE: HOPE FAMILY HEALTH SERVICES (HFHS) FY25 EXPANDED HOURS PROJECT DIRECTOR: JENNIFER DITTES CONTACT PHONE NUMBER: (615) 644-2000 CONTACT EMAIL ADDRESS: JENNYDITTES@HOPEFAMILYHEALTH.ORG HEALTH CENTER PROGRAM GRANT NUMBER: H80CS24109 WEBSITE: HTTPS://WWW.HOPEFAMILYHEALTH.ORG/ ADDRESS: 1124 NEW HIGHWAY 52 E CITY & STATE: WESTMORELAND, TN 37186 HOPE FAMILY HEALTH SERVICES (HFHS), A NON-PROFIT FEDERALLY QUALIFIED HEALTH CENTER (FQHC), HAS BEEN PROVIDING ACCESSIBLE, HIGH-QUALITY, PATIENT-FOCUSED HEALTH CARE TO RESIDENTS OF MACON, SUMNER, AND TROUSDALE COUNTIES, TN, SINCE 2005. HFHS BELIEVES THAT EVERY PATIENT - WHETHER INSURED, UNINSURED, UNDERINSURED, MODERATE-INCOME, LOW-INCOME OR EXPERIENCING HOMELESSNESS, AND REGARDLESS OF GENDER, AGE, RACE OR SITUATION, - DESERVES ACCESS TO EXCEPTIONAL CARE DELIVERED WITH DIGNITY AND RESPECT. IN 2023, HFHS SERVED 4,627 PATIENTS WITH 18,106 ENCOUNTERS, INCLUDING 3,534 VIRTUAL VISITS, FROM THREE SERVICE DELIVERY SITES. HFHS IS RAPIDLY EXPANDING STAFF, SERVICES AND DELIVERY SITES TO MEET PATIENT AND COMMUNITY NEEDS. TO FURTHER ADDRESS DEMAND, HFHS PLANS TO EXTEND HOURS AT ALL THREE HFHS FACILITIES. COMMUNITY FEEDBACK, INCLUDING FROM RESIDENTS, BOARD MEMBERS, AND PATIENTS, HAS DEMONSTRATED THAT MANY PEOPLE CANNOT OBTAIN MUCH- NEEDED CARE AT HFHS FACILITIES DUE TO CURRENT OPERATING HOURS. FARM AND FACTORY WORKERS, AMONG OTHERS, STRUGGLE TO VISIT DURING HFHS’ TYPICAL 8 AM TO 5 PM SCHEDULE, WHICH OVERLAPS WITH SCHOOL AND WORK HOURS, ESPECIALLY SINCE ALL FACILITIES ARE CURRENTLY CLOSED FOR AN HOUR DURING LUNCH. PATIENT SATISFACTION SURVEYS FREQUENTLY MENTION THE NEED FOR SERVICES DURING EVENINGS, WEEKENDS, AND LUNCH BREAKS. OUR MOST REQUESTED APPOINTMENTS ARE DURING LATE AFTERNOON/EVENING SLOTS, WITH OVER A 30-DAY WAIT FOR THESE APPOINTMENTS FOR ESTABLISHED PATIENTS AND OVER A 60-DAY WAIT FOR NEW PATIENTS. LEVERAGING HRSA EXPANDED HOURS FUNDING, HFHS WILL INCREASE ITS OPERATING HOURS BY 24 HOURS ACROSS THREE CLINIC SITES: WESTMORELAND – 5, WESTSIDE – 12, AND GALLATIN – 7. NEW OPERATING HOURS WILL INCLUDE OPENING THE LUNCH HOUR (12 PM – 1 PM) FOR SERVICES AND APPOINTMENTS MONDAY THROUGH FRIDAY AT EVERY LOCATION, ADDING FIVE HOURS WEEKLY TO EACH SITE, OR 15 HOURS TOTAL. AT WESTMORELAND, HFHS ALREADY OFFERS ONE EXPANDED SERVICE DAY FOR MEDICAL SERVICES. THROUGH THIS PROJECT, HFHS WILL ADD AN ADDITIONAL DAY A WEEK WHERE THE SITE WILL OFFER EXPANDED SERVICE HOURS, ADDING ONE WEEKLY HOUR TO THE FACILITY, BUT TWO WEEKLY HOURS TO THE DEPARTMENT. THE WESTMORELAND CLINIC WILL EXPAND AN ADDITIONAL FOUR HOURS BY OPENING EVERY SATURDAY FROM 8 AM TO 12 PM, OFFERING URGENT CARE AND X-RAY/MAMMOGRAPHY SERVICES. HFHS CURRENTLY PROVIDES SERVICES MONDAY THROUGH THURSDAY AT THEIR WESTSIDE LOCATION WITH ONE EXTENDED HOUR DAY ON THURSDAY FROM 7 AM TO 6 PM. TO MEET ADDITIONAL NEEDS WESTSIDE WILL ADD 8 OPERATING HOURS ON FRIDAY IN ADDITION TO ADDING THE LUNCH HOURS. THE GALLATIN LOCATION IS CURRENTLY OPEN MONDAY THROUGH FRIDAY AND DOES NOT HAVE EXTENDED HOURS. TO MEET THE INCREASING DEMAND AT THIS NEW SITE, HFHS WILL OPEN FOR A HALF DAY (8 AM – 12 PM) ON SATURDAYS FOR BEHAVIORAL HEALTH AND MEDICAL SERVICES. PROJECT ACTIVITIES INCLUDE: - UTILIZING COMMUNITY PARTNERSHIPS AND OUTREACH EFFORTS TO INFORM COMMUNITY MEMBERS ABOUT THE NEW SCHEDULES; - REARRANGING STAFF SCHEDULES TO SUPPORT THE EXPANDED CLINIC HOURS. THE PROGRAM GOALS TO BE ACHIEVED THROUGH THESE ACTIVITIES INCLUDE: - INCREASE THE NUMBER OF PATIENTS RECEIVING PRIMARY AND PREVENTATIVE CARE SERVICES; - INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES; - DECREASE APPOINTMENT WAIT TIMES; - INCREASE THE NUMBER OF NEW PATIENT USERS. - INCREASE THE NUMBER OF ENCOUNTERS.

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

COMMUNITY FACILITY GRANTS

FY 2023 EXPANDING COVID-19 VACCINATION

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

COMMUNITY FACILITY GRANTS

FY 2023 BRIDGE ACCESS PROGRAM